· Consult patient record or information from the billing department to determine if a readmission to the same hospital occurred within 30 days of the date recorded in the item Date of Surgical Discharge (NAACCR Item #3180).
· Only record a readmission related to the treatment of this cancer.
· Review the treatment plan to determine whether the readmission was planned.
· If there was an unplanned admission following surgical discharge, check for an ICD-9-CM "E" code and record it, space allowing, as an additional ICD-9-CM Comorbidities and Complications item (NAACCR #3110, 3120, 3130, 3140, 3150, 3160, 3161, 3162, 3163, 3164).
This item is only reported using the FORDS manual for diagnosis years 2003 and later.
|
Code |
Definition |
|
0 |
No surgical procedure of the primary site was performed, or the patient was not readmitted to the same hospital within 30 days of discharge. |
|
1 |
A patient was surgically treated and was readmitted to the same hospital within 30 days of being discharged. This readmission was unplanned. |
|
2 |
A patient was surgically treated and was then readmitted to the same hospital within 30 days of being discharged. This readmission was planned (chemotherapy port insertion, revision of colostomy, etc.) |
|
3 |
A patient was surgically treated and, within 30 days of being discharged, the patient had both a planned and an unplanned readmission to the same hospital. |
|
9 |
It is unknown whether surgery of the primary site was recommended or performed. It is unknown whether the patient was readmitted to the same hospital within 30 days of discharge. |